First case of X-linked dystonia-parkinsonism ("Lubag") to demonstrate a response to bilateral pallidal stimulation.
Identifieur interne : 001D12 ( Ncbi/Merge ); précédent : 001D11; suivant : 001D13First case of X-linked dystonia-parkinsonism ("Lubag") to demonstrate a response to bilateral pallidal stimulation.
Auteurs : Virgilio Gerald H. Evidente [États-Unis] ; Mark K. Lyons ; Mark Wheeler ; Renee Hillman ; Luann Helepolelei ; Froukje Beynen ; Dagmar Nolte ; Ulrich Müller ; Philip A. StarrSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- genetics : Parkinson Disease.
- pathology : Genetic Diseases, X-Linked, Parkinson Disease.
- physiopathology : Globus Pallidus.
- radiation effects : Globus Pallidus.
- therapy : Genetic Diseases, X-Linked, Parkinson Disease.
- Electric Stimulation Therapy, Humans, Male, Middle Aged.
Abstract
"Lubag" or X-linked dystonia-parkinsonism (XDP) is a genetic syndrome afflicting Filipino men. Intracranial surgical procedures for Lubag have been unsuccessful. We report a 45-year-old Filipino male with genetically confirmed XDP who underwent bilateral pallidal deep brain stimulation (DBS) surgery. The patient started to exhibit improvement on initial programming, most notably of his severe jaw-opening dystonia. At 1-year follow-up, his Burke-Fahn-Marsden dystonia score and motor Unified Parkinson's Disease Rating Scale score were improved by 71% and 62%, respectively, with the stimulators on compared to stimulators off state. Bilateral pallidal DBS may be a viable option for Lubag patients with medically refractory symptoms.
DOI: 10.1002/mds.21420
PubMed: 17579361
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pubmed:17579361Le document en format XML
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<author><name sortKey="Evidente, Virgilio Gerald H" sort="Evidente, Virgilio Gerald H" uniqKey="Evidente V" first="Virgilio Gerald H" last="Evidente">Virgilio Gerald H. Evidente</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Mayo Clinic, Scottsdale, Arizona 85259, USA. evidente.virgilio@mayo.edu</nlm:affiliation>
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<wicri:regionArea>Department of Neurology, Mayo Clinic, Scottsdale, Arizona 85259</wicri:regionArea>
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<author><name sortKey="Lyons, Mark K" sort="Lyons, Mark K" uniqKey="Lyons M" first="Mark K" last="Lyons">Mark K. Lyons</name>
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<author><name sortKey="Wheeler, Mark" sort="Wheeler, Mark" uniqKey="Wheeler M" first="Mark" last="Wheeler">Mark Wheeler</name>
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<author><name sortKey="Hillman, Renee" sort="Hillman, Renee" uniqKey="Hillman R" first="Renee" last="Hillman">Renee Hillman</name>
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<author><name sortKey="Nolte, Dagmar" sort="Nolte, Dagmar" uniqKey="Nolte D" first="Dagmar" last="Nolte">Dagmar Nolte</name>
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<author><name sortKey="Muller, Ulrich" sort="Muller, Ulrich" uniqKey="Muller U" first="Ulrich" last="Müller">Ulrich Müller</name>
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<author><name sortKey="Starr, Philip A" sort="Starr, Philip A" uniqKey="Starr P" first="Philip A" last="Starr">Philip A. Starr</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Genetic Diseases, X-Linked (pathology)</term>
<term>Genetic Diseases, X-Linked (therapy)</term>
<term>Globus Pallidus (physiopathology)</term>
<term>Globus Pallidus (radiation effects)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (genetics)</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (therapy)</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Electric Stimulation Therapy</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">"Lubag" or X-linked dystonia-parkinsonism (XDP) is a genetic syndrome afflicting Filipino men. Intracranial surgical procedures for Lubag have been unsuccessful. We report a 45-year-old Filipino male with genetically confirmed XDP who underwent bilateral pallidal deep brain stimulation (DBS) surgery. The patient started to exhibit improvement on initial programming, most notably of his severe jaw-opening dystonia. At 1-year follow-up, his Burke-Fahn-Marsden dystonia score and motor Unified Parkinson's Disease Rating Scale score were improved by 71% and 62%, respectively, with the stimulators on compared to stimulators off state. Bilateral pallidal DBS may be a viable option for Lubag patients with medically refractory symptoms.</div>
</front>
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<Abstract><AbstractText>"Lubag" or X-linked dystonia-parkinsonism (XDP) is a genetic syndrome afflicting Filipino men. Intracranial surgical procedures for Lubag have been unsuccessful. We report a 45-year-old Filipino male with genetically confirmed XDP who underwent bilateral pallidal deep brain stimulation (DBS) surgery. The patient started to exhibit improvement on initial programming, most notably of his severe jaw-opening dystonia. At 1-year follow-up, his Burke-Fahn-Marsden dystonia score and motor Unified Parkinson's Disease Rating Scale score were improved by 71% and 62%, respectively, with the stimulators on compared to stimulators off state. Bilateral pallidal DBS may be a viable option for Lubag patients with medically refractory symptoms.</AbstractText>
<CopyrightInformation>(c) 2007 Movement Disorder Society.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Evidente</LastName>
<ForeName>Virgilio Gerald H</ForeName>
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